Healthcare Provider Details

I. General information

NPI: 1285556746
Provider Name (Legal Business Name): JULIANA VINA CHHOUK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27555 YNEZ RD STE 110
TEMECULA CA
92591-4677
US

IV. Provider business mailing address

27555 YNEZ RD STE 110
TEMECULA CA
92591-4677
US

V. Phone/Fax

Practice location:
  • Phone: 951-406-6473
  • Fax:
Mailing address:
  • Phone: 951-406-6473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: